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IPAC RHTE# ~r- Z I- LW_r2 Harnett wunty Department of Public Heap n Improvement Permit 26333 A building permit cannot be issued with only an Im rovement Permit - PROPERTY LOCATION: v r~ d ISSUED TO: 4>e"c c~ sa=~ pIrrr-4 r1crd° ,,r, SUBDIVISION LOT # .21 NEW [ REPAIR ❑ & EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: W -4-t I Y z X Ca Proposed Wastewater System Type: kr_L' >n r-v , Projected Daily Flow: 6 0 GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes Pump Required: ❑Yes Ao ❑ MM be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Ifs Public ❑ Well Distance from well feet Permit valid for: PT-Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: -3 .2 / SEE ATTACHED SITE SKETCH The issuance of this permit by [trtealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: nut e,rmrI PROPERTY LOCATION: SUBDIVISION LOT # Facility Type: 'New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** yZ S'_r, (Initial) Wastewater Flow: O GPD (See note below, if applicable .z3- ~~~va u~, ~f r~ (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size W gallons Exact length of each trench /00 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. (6 -2,0 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: A, J- Trench Spacing: Feet on Center Soil Cover: cs inches (Maximum soil cover shall not exceed 36" above the trench bottom) / Aggregate Depth: inches below pipe inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /understand the system type specified it different from the type specified on the application. /accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site- Thk Construction Authorization is subject to complian with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH C Authorized State Agent: c Date: "I a Construction Authorization Expiration Date: i. HTE# Permit # OZ (o 33.7 Harnett County ]Department of 1"t-iblic Health Site Sketch PROPERTY LOCATON: 4. - rv,/Zd. ISSUED TO: T) n c,F~ ~srr-f SUBDIVISION LOT # Authorized State Agent: rUC'f7~ Date: S-/9 / 11// /5,/ f yob It „~psa f 4,-J C--jc-